Book contents
- Cardiopulmonary Bypass
- Cardiopulmonary Bypass
- Copyright page
- Contents
- Contributors
- Foreword
- Chapter 1 Human Factors and Teamwork in Cardiac Surgery
- Chapter 2 Equipment for Cardiopulmonary Bypass
- Chapter 3 Monitoring during Cardiopulmonary Bypass
- Chapter 4 Cardiopulmonary Bypass Circuit Setup and Safety Checks
- Chapter 5 Priming Solutions for Cardiopulmonary Bypass Circuits
- Chapter 6 Anticoagulation for Cardiopulmonary Bypass
- Chapter 7 Conduct of Cardiopulmonary Bypass
- Chapter 8 Minimal Invasive Extracorporeal Circulation
- Chapter 9 Considerations for Operations Involving Deep Hypothermic Circulatory Arrest
- Chapter 10 Metabolic Management during Cardiopulmonary Bypass
- Chapter 11 Myocardial Preservation during Cardiopulmonary Bypass
- Chapter 12 Weaning from Cardiopulmonary Bypass
- Chapter 13 Intraoperative Mechanical Circulatory Support and Other Uses of Cardiopulmonary Bypass
- Chapter 14 Mechanical Circulatory Support
- Chapter 15 Cardiopulmonary Bypass for Pediatric Cardiac Surgery
- Chapter 16 Coagulopathy and Hematological Disorders Associated with Cardiopulmonary Bypass
- Chapter 17 Inflammation and Organ Damage during Cardiopulmonary Bypass
- Chapter 18 Neuromonitoring and Cerebral Morbidity Associated with Cardiopulmonary Bypass
- Chapter 19 Renal Morbidity Associated with Cardiopulmonary Bypass
- Chapter 20 Common and Uncommon Disasters during Cardiopulmonary Bypass
- Index
- References
Chapter 8 - Minimal Invasive Extracorporeal Circulation
Published online by Cambridge University Press: 24 October 2022
Book contents
- Cardiopulmonary Bypass
- Cardiopulmonary Bypass
- Copyright page
- Contents
- Contributors
- Foreword
- Chapter 1 Human Factors and Teamwork in Cardiac Surgery
- Chapter 2 Equipment for Cardiopulmonary Bypass
- Chapter 3 Monitoring during Cardiopulmonary Bypass
- Chapter 4 Cardiopulmonary Bypass Circuit Setup and Safety Checks
- Chapter 5 Priming Solutions for Cardiopulmonary Bypass Circuits
- Chapter 6 Anticoagulation for Cardiopulmonary Bypass
- Chapter 7 Conduct of Cardiopulmonary Bypass
- Chapter 8 Minimal Invasive Extracorporeal Circulation
- Chapter 9 Considerations for Operations Involving Deep Hypothermic Circulatory Arrest
- Chapter 10 Metabolic Management during Cardiopulmonary Bypass
- Chapter 11 Myocardial Preservation during Cardiopulmonary Bypass
- Chapter 12 Weaning from Cardiopulmonary Bypass
- Chapter 13 Intraoperative Mechanical Circulatory Support and Other Uses of Cardiopulmonary Bypass
- Chapter 14 Mechanical Circulatory Support
- Chapter 15 Cardiopulmonary Bypass for Pediatric Cardiac Surgery
- Chapter 16 Coagulopathy and Hematological Disorders Associated with Cardiopulmonary Bypass
- Chapter 17 Inflammation and Organ Damage during Cardiopulmonary Bypass
- Chapter 18 Neuromonitoring and Cerebral Morbidity Associated with Cardiopulmonary Bypass
- Chapter 19 Renal Morbidity Associated with Cardiopulmonary Bypass
- Chapter 20 Common and Uncommon Disasters during Cardiopulmonary Bypass
- Index
- References
Summary
Minimal Invasive Extracorporeal Circulation’s (MiECC) unique characteristics include advances such as closed circuits with elimination of blood-air interaction, reduced hemodilution, biocompatible surfaces, and lack of scavenging and reinfusion of unprocessed shed blood. Contemporary hybrid (modular) systems allow perfusionists to safely employ MiECC in the full-spectrum cardiac surgery. MiECC provides the base for developing a multidisciplinary intraoperative strategy which encompasses a surgeon’s particular technique, goal-directed perfusion, as well as modified heparin/protamine management. As with traditional ECC techniques, MiECC requires close collaboration of surgical, anesthesiology and perfusion colleagues for optimal outcome.
Keywords
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- Chapter
- Information
- Cardiopulmonary Bypass , pp. 71 - 79Publisher: Cambridge University PressPrint publication year: 2022
References
Suggested Further Reading
D’ Agostino, RS, Jacobs, JP, Badhwar, V et al. The Society of Thoracic Surgeons adult cardiac surgery database: 2019 update on outcomes and quality. Ann Thorac Surg 2019;107:24–32.Google Scholar
Benedetto, U, Puskas, J, Kappetein, AP et al. Off-Pump versus on-pump bypass surgery for left main coronary artery disease. J Am Coll Cardiol 2019;74:729–740.Google Scholar
Anastasiadis, K, Murkin, J, Antonitsis, P et al. Use of minimal invasive extracorporeal circulation in cardiac surgery: principles, definitions and potential benefits. A position paper from the Minimal Invasive Extra-Corporeal Technologies International Society (MiECTiS). Interact Cardiovasc Thorac Surg 2016;22:647–662.Google Scholar
Anastasiadis, K, Antonitsis, P, Argiriadou, H et al. Modular minimally invasive extracorporeal circulation systems; can they become the standard practice for performing cardiac surgery? Perfusion 2015;30:195–200.Google Scholar
Anastasiadis, K, Antonitsis, P, Asteriou, C et al. Quantification of operational learning in minimal invasive extracorporeal circulation. Artif Organs 2017;41:628–636.Google Scholar
Wahba, Alexander, Milojevic, Milan, Boer, Christa et al. EACTS/EACTA/EBCP Committee Reviewers, 2019 EACTS/EACTA/EBCP guidelines on cardiopulmonary bypass in adult cardiac surgery, European Journal of Cardio-Thoracic Surgery, 2020;57(2): 210–251.Google Scholar
Anastasiadis, K, Antonitsis, P, Haidich, AB et al. Use of minimal extracorporeal circulation improves outcome after heart surgery; a systematic review and meta-analysis of randomized controlled trials. Int J Cardiol 2013;164:158–169.Google Scholar
Benedetto, U, Angeloni, E, Refice, S et al. Is minimized extracorporeal circulation effective to reduce the need for red blood cell transfusion in coronary artery bypass grafting? Meta-analysis of randomized controlled trials. J Thorac Cardiovasc Surg 2009;38:1450–1453.Google Scholar
Kowalewski, M, Pawliszak, W, Raffa, GM et al. Safety and efficacy of miniaturized extracorporeal circulation when compared with off-pump and conventional coronary artery bypass grafting: evidence synthesis from a comprehensive Bayesian-framework network meta-analysis of 134 randomized controlled trials involving 22 778 patients. Eur J Cardiothorac Surg 2016;49:1428–1440.Google Scholar
Donndorf, P, Kuhn, F, Vollmar, B et al. Comparing microvascular alterations during minimal extracorporeal circulation and conventional cardiopulmonary bypass in coronary artery bypass graft surgery: a prospective, randomized study. J Thorac Cardiovasc Surg 2012;144:677–683.Google Scholar